Individual
DAVID SANJUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
737 S SEMORAN BLVD, ORLANDO, FL 32807-3121
(321) 247-4960
(833) 963-0116
Mailing address
737 S SEMORAN BLVD, ORLANDO, FL 32807-3121
(321) 247-4960
(833) 963-0116
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15442
PR
208D00000X
General Practice Physician
Primary
ACN1047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100951000
—
FL
01
—
ACN1047
STATE LICENSE
FL
01
—
PV866
MEDICARE
FL
Enumeration date
08/25/2013
Last updated
03/07/2023
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